# SWEDISHAMERICAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SwedishAmerican Hospital Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588093942
- **Authorized official:** E. THOMAS CAREY (PHARMACY DIRECTOR)
- **Authorized official phone:** (815) 968-4400

## Contact information

- **Practice address:** 1401 E STATE ST, ROCKFORD, IL 61104-2315
- **Practice address phone:** (815) 968-4400
- **Mailing address:** 1401 E STATE ST, ROCKFORD, IL 61104-2315
- **Mailing address phone:** (815) 968-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054.017022 | IL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2013
- **Last updated:** 12/29/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2142356 | PK | — |